Inpatient Procedure Charges

Our Commitment to Quality

Helping ensure our patients receive the highest level of care, delivered with dignity and compassion, is our goal with every patient and family member, every time. Our Board challenges us to remain in the Top 10 percent of hospitals in the country in quality scores, and they meet monthly with physicians and clinical staff to analyze the data and develop a plan to better serve our patients. It is this goal-driven mindset that has earned us recognition in key areas for our quality strides. Learn more about our quality awards and recognition.

NOTE: Charges displayed on these documents include: procedure, anesthesia and recovery time if applicable, some medications and supplies, laboratory tests and room & board. Not included are physician fees.

Inpatient DRG Code and Name Charges
1 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC MS $699,257.81
100 SEIZURES W MCC MS $29,181.47
101 SEIZURES W/O MCC MS $16,035.40
102 HEADACHES W MCC MS $32,419.57
103 HEADACHES W/O MCC MS $16,379.49
11 TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W MCC MS $81,487.07
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT MS $9,403.23
12 TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W CC MS $33,264.40
123 NEUROLOGICAL EYE DISORDERS MS $18,249.78
124 OTHER DISORDERS OF THE EYE W MCC MS $12,885.27
125 OTHER DISORDERS OF THE EYE W/O MCC MS $16,474.35
133 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC MS $57,399.16
134 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC MS $19,370.60
137 MOUTH PROCEDURES W CC/MCC MS $33,129.19
138 MOUTH PROCEDURES W/O CC/MCC MS $2,675.63
139 SALIVARY GLAND PROCEDURES MS $17,779.21
146 EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC MS $58,240.48
147 EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC MS $31,861.71
149 DYSEQUILIBRIUM MS $16,755.45
150 EPISTAXIS W MCC MS $13,108.76
151 EPISTAXIS W/O MCC MS $7,174.03
152 OTITIS MEDIA & URI W MCC MS $32,985.41
153 OTITIS MEDIA & URI W/O MCC MS $15,935.90
154 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC MS $38,561.98
155 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC MS $19,797.79
156 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC MS $12,635.14
157 DENTAL & ORAL DISEASES W MCC MS $20,082.64
158 DENTAL & ORAL DISEASES W CC MS $21,238.79
159 DENTAL & ORAL DISEASES W/O CC/MCC MS $9,372.95
163 MAJOR CHEST PROCEDURES W MCC MS $84,558.40
164 MAJOR CHEST PROCEDURES W CC MS $54,785.04
165 MAJOR CHEST PROCEDURES W/O CC/MCC MS $46,912.84
166 OTHER RESP SYSTEM O.R. PROCEDURES W MCC MS $71,518.55
167 OTHER RESP SYSTEM O.R. PROCEDURES W CC MS $35,401.78
168 OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC MS $41,103.38
175 PULMONARY EMBOLISM W MCC MS $25,593.28
176 PULMONARY EMBOLISM W/O MCC MS $17,626.02
177 RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC MS $28,247.64
178 RESPIRATORY INFECTIONS & INFLAMMATIONS W CC MS $21,636.99
179 RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC MS $19,928.12
180 RESPIRATORY NEOPLASMS W MCC MS $28,998.33
181 RESPIRATORY NEOPLASMS W CC MS $21,102.70
183 MAJOR CHEST TRAUMA W MCC MS $41,992.74
184 MAJOR CHEST TRAUMA W CC MS $15,889.21
185 MAJOR CHEST TRAUMA W/O CC/MCC MS $7,482.83
186 PLEURAL EFFUSION W MCC MS $21,825.47
187 PLEURAL EFFUSION W CC MS $17,869.18
188 PLEURAL EFFUSION W/O CC/MCC MS $18,854.09
189 PULMONARY EDEMA & RESPIRATORY FAILURE MS $23,675.95
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC MS $22,840.61
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC MS $17,564.69
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC MS $14,610.94
193 SIMPLE PNEUMONIA & PLEURISY W MCC MS $25,823.50
194 SIMPLE PNEUMONIA & PLEURISY W CC MS $17,682.79
195 SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC MS $12,144.77
196 INTERSTITIAL LUNG DISEASE W MCC MS $27,551.79
197 INTERSTITIAL LUNG DISEASE W CC MS $18,950.87
198 INTERSTITIAL LUNG DISEASE W/O CC/MCC MS $13,750.88
199 PNEUMOTHORAX W MCC MS $31,285.24
20 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC MS $114,950.82
200 PNEUMOTHORAX W CC MS $16,173.02
201 PNEUMOTHORAX W/O CC/MCC MS $14,971.83
202 BRONCHITIS & ASTHMA W CC/MCC MS $16,201.39
203 BRONCHITIS & ASTHMA W/O CC/MCC MS $12,676.51
204 RESPIRATORY SIGNS & SYMPTOMS MS $15,715.75
205 OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC MS $22,256.47
206 OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC MS $29,591.62
207 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS MS $89,585.03
208 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS MS $41,789.88
215 OTHER HEART ASSIST SYSTEM IMPLANT MS $198,184.30
216 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC MS $152,970.71
217 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC MS $127,416.09
219 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC MS $150,453.47
220 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC MS $104,141.31
221 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC MS $127,965.77
222 CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC MS $185,217.63
223 CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC MS $137,026.51
224 CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC MS $129,934.38
225 CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC MS $146,562.96
226 CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC MS $131,447.39
227 CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC MS $134,942.22
228 OTHER CARDIOTHORACIC PROCEDURES W MCC MS $87,808.06
229 OTHER CARDIOTHORACIC PROCEDURES W/O MCC MS $60,519.70
23 CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W MCC OR CHEMO IMPLANT MS $109,211.14
232 CORONARY BYPASS W PTCA W/O MCC MS $155,165.48
233 CORONARY BYPASS W CARDIAC CATH W MCC MS $148,640.03
234 CORONARY BYPASS W CARDIAC CATH W/O MCC MS $116,645.36
235 CORONARY BYPASS W/O CARDIAC CATH W MCC MS $118,207.46
236 CORONARY BYPASS W/O CARDIAC CATH W/O MCC MS $92,598.37
239 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC MS $66,978.55
24 CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC MS $98,436.64
240 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC MS $41,162.01
241 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC MS $50,448.65
242 PERMANENT CARDIAC PACEMAKER IMPLANT W MCC MS $79,111.03
243 PERMANENT CARDIAC PACEMAKER IMPLANT W CC MS $60,717.36
244 PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC MS $52,055.62
245 AICD GENERATOR PROCEDURES MS $127,897.75
246 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS MS $74,467.17
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTER MS $72,587.74
247 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC MS $49,994.47
248 PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W MCC OR 4+ VES/STENTS MS $66,408.84
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES W NON-DRUG-ELUTING STENT W MCC OR 4+ A MS $49,010.49
249 PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC MS $49,904.08
25 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC MS $65,027.39
250 PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC MS $49,263.82
251 PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC MS $37,203.00
252 OTHER VASCULAR PROCEDURES W MCC MS $67,349.17
253 OTHER VASCULAR PROCEDURES W CC MS $59,509.60
254 OTHER VASCULAR PROCEDURES W/O CC/MCC MS $39,124.65
255 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC MS $69,463.78
256 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC MS $40,176.87
257 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC MS $31,416.82
258 CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC MS $48,792.56
259 CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC MS $46,444.60
26 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC MS $46,834.50
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC MS $58,055.67
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC MS $42,579.55
263 VEIN LIGATION & STRIPPING MS $26,785.84
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES MS $47,730.74
265 AICD LEAD PROCEDURES MS $75,072.95
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC MS $83,187.05
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC MS $77,271.38
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MCC MS $103,032.47
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC MS $81,494.39
27 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC MS $41,287.93
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC MS $110,802.42
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC MS $94,948.04
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC MS $89,319.35
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC MS $62,275.07
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC MS $56,360.66
28 SPINAL PROCEDURES W MCC MS $103,372.96
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC MS $26,946.81
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC MS $18,722.44
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC MS $15,410.29
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC MS $38,517.41
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC MS $27,960.71
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC MS $5,072.43
286 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC MS $34,116.84
287 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC MS $21,923.43
288 ACUTE & SUBACUTE ENDOCARDITIS W MCC MS $23,641.98
29 SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS MS $26,899.53
291 HEART FAILURE & SHOCK W MCC MS $22,119.31
292 HEART FAILURE & SHOCK W CC MS $15,589.38
293 HEART FAILURE & SHOCK W/O CC/MCC MS $13,893.57
296 CARDIAC ARREST, UNEXPLAINED W MCC MS $41,823.48
299 PERIPHERAL VASCULAR DISORDERS W MCC MS $22,415.28
3 ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. MS $240,246.68
30 SPINAL PROCEDURES W/O CC/MCC MS $29,533.05
300 PERIPHERAL VASCULAR DISORDERS W CC MS $17,027.19
301 PERIPHERAL VASCULAR DISORDERS W/O CC/MCC MS $14,521.98
302 ATHEROSCLEROSIS W MCC MS $17,422.74
303 ATHEROSCLEROSIS W/O MCC MS $11,795.41
304 HYPERTENSION W MCC MS $19,364.26
305 HYPERTENSION W/O MCC MS $14,569.43
306 CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC MS $20,336.31
307 CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC MS $19,804.35
308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC MS $22,195.26
309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC MS $14,647.81
310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC MS $10,217.26
311 ANGINA PECTORIS MS $12,854.99
312 SYNCOPE & COLLAPSE MS $16,951.23
313 CHEST PAIN MS $15,494.32
314 OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC MS $32,151.71
315 OTHER CIRCULATORY SYSTEM DIAGNOSES W CC MS $20,055.01
316 OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC MS $12,927.87
32 VENTRICULAR SHUNT PROCEDURES W CC MS $36,857.50
326 STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC MS $59,891.22
327 STOMACH, ESOPHAGEAL & DUODENAL PROC W CC MS $38,349.54
328 STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC MS $25,675.99
329 MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC MS $86,103.50
33 VENTRICULAR SHUNT PROCEDURES W/O CC/MCC MS $32,597.81
330 MAJOR SMALL & LARGE BOWEL PROCEDURES W CC MS $47,001.29
331 MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC MS $35,892.47
333 RECTAL RESECTION W CC MS $26,139.19
334 RECTAL RESECTION W/O CC/MCC MS $33,309.58
335 PERITONEAL ADHESIOLYSIS W MCC MS $77,069.89
336 PERITONEAL ADHESIOLYSIS W CC MS $43,372.42
337 PERITONEAL ADHESIOLYSIS W/O CC/MCC MS $31,777.02
338 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC MS $113,873.93
339 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC MS $29,431.75
34 CAROTID ARTERY STENT PROCEDURE W MCC MS $50,757.45
340 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC MS $26,219.78
341 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC MS $44,512.21
342 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC MS $27,517.18
343 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC MS $23,962.30
344 MINOR SMALL & LARGE BOWEL PROCEDURES W MCC MS $48,211.64
345 MINOR SMALL & LARGE BOWEL PROCEDURES W CC MS $34,160.92
346 MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC MS $20,645.36
347 ANAL & STOMAL PROCEDURES W MCC MS $48,400.71
348 ANAL & STOMAL PROCEDURES W CC MS $30,497.12
349 ANAL & STOMAL PROCEDURES W/O CC/MCC MS $23,224.65
35 CAROTID ARTERY STENT PROCEDURE W CC MS $55,770.66
350 INGUINAL & FEMORAL HERNIA PROCEDURES W MCC MS $26,767.50
351 INGUINAL & FEMORAL HERNIA PROCEDURES W CC MS $29,508.16
352 INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC MS $21,260.74
353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC MS $68,042.82
354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC MS $33,503.63
355 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC MS $21,512.84
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC MS $64,062.03
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC MS $41,924.57
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC MS $31,102.20
36 CAROTID ARTERY STENT PROCEDURE W/O CC/MCC MS $123,762.52
368 MAJOR ESOPHAGEAL DISORDERS W MCC MS $40,144.26
369 MAJOR ESOPHAGEAL DISORDERS W CC MS $24,699.95
37 EXTRACRANIAL PROCEDURES W MCC MS $66,622.34
370 MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC MS $11,695.53
371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC MS $31,152.30
372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC MS $18,886.91
373 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC MS $15,284.23
374 DIGESTIVE MALIGNANCY W MCC MS $32,460.84
375 DIGESTIVE MALIGNANCY W CC MS $24,040.91
376 DIGESTIVE MALIGNANCY W/O CC/MCC MS $15,607.22
377 G.I. HEMORRHAGE W MCC MS $29,716.34
378 G.I. HEMORRHAGE W CC MS $19,620.29
379 G.I. HEMORRHAGE W/O CC/MCC MS $14,238.05
38 EXTRACRANIAL PROCEDURES W CC MS $34,180.04
380 COMPLICATED PEPTIC ULCER W MCC MS $35,243.92
381 COMPLICATED PEPTIC ULCER W CC MS $16,979.17
382 COMPLICATED PEPTIC ULCER W/O CC/MCC MS $19,004.69
383 UNCOMPLICATED PEPTIC ULCER W MCC MS $38,586.30
384 UNCOMPLICATED PEPTIC ULCER W/O MCC MS $15,999.14
385 INFLAMMATORY BOWEL DISEASE W MCC MS $27,425.02
386 INFLAMMATORY BOWEL DISEASE W CC MS $19,057.67
387 INFLAMMATORY BOWEL DISEASE W/O CC/MCC MS $19,587.09
388 G.I. OBSTRUCTION W MCC MS $31,181.44
389 G.I. OBSTRUCTION W CC MS $21,558.99
39 EXTRACRANIAL PROCEDURES W/O CC/MCC MS $25,409.96
390 G.I. OBSTRUCTION W/O CC/MCC MS $15,471.79
391 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC MS $24,732.19
392 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC MS $16,894.00
393 OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC MS $30,701.88
394 OTHER DIGESTIVE SYSTEM DIAGNOSES W CC MS $18,247.88
395 OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC MS $14,334.26
4 TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. MS $208,203.91
40 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC MS $73,216.80
405 PANCREAS, LIVER & SHUNT PROCEDURES W MCC MS $80,992.94
406 PANCREAS, LIVER & SHUNT PROCEDURES W CC MS $19,052.03
407 PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC MS $39,423.33
408 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC MS $72,583.89
409 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC MS $36,694.28
41 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM MS $39,795.37
412 CHOLECYSTECTOMY W C.D.E. W CC MS $29,304.83
413 CHOLECYSTECTOMY W C.D.E. W/O CC/MCC MS $40,028.74
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC MS $62,051.54
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC MS $44,224.52
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC MS $24,751.83
417 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC MS $47,289.13
418 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC MS $34,516.17
419 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC MS $28,485.65
42 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC MS $22,026.83
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC MS $94,700.18
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC MS $77,374.50
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC MS $66,435.15
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC MS $80,785.49
432 CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC MS $31,145.94
433 CIRRHOSIS & ALCOHOLIC HEPATITIS W CC MS $22,274.59
434 CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC MS $15,791.63
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC MS $36,102.62
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC MS $23,238.51
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC MS $22,502.96
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC MS $31,949.85
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC MS $20,076.91
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC MS $15,456.09
441 DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC MS $28,217.21
442 DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC MS $15,555.17
443 DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC MS $18,927.90
444 DISORDERS OF THE BILIARY TRACT W MCC MS $47,739.36
445 DISORDERS OF THE BILIARY TRACT W CC MS $25,037.23
446 DISORDERS OF THE BILIARY TRACT W/O CC/MCC MS $18,946.55
453 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC MS $138,750.82
454 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC MS $78,092.39
455 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC MS $68,253.24
456 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W MCC MS $100,415.91
457 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC MS $109,699.03
458 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W/O CC/MCC MS $95,072.24
459 SPINAL FUSION EXCEPT CERVICAL W MCC MS $113,754.03
460 SPINAL FUSION EXCEPT CERVICAL W/O MCC MS $55,747.77
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC MS $41,716.10
463 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC MS $65,400.29
464 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC MS $42,966.15
465 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC MS $34,888.62
466 REVISION OF HIP OR KNEE REPLACEMENT W MCC MS $65,104.82
467 REVISION OF HIP OR KNEE REPLACEMENT W CC MS $50,966.85
468 REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC MS $34,796.12
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC MS $53,572.72
469 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC MS $57,979.51
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O M MS $28,663.31
470 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC MS $28,271.26
471 CERVICAL SPINAL FUSION W MCC MS $66,021.69
472 CERVICAL SPINAL FUSION W CC MS $41,258.03
473 CERVICAL SPINAL FUSION W/O CC/MCC MS $31,651.08
474 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC MS $65,298.58
475 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC MS $37,275.04
476 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC MS $18,837.75
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC MS $33,440.63
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC MS $23,848.73
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC MS $24,071.34
480 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC MS $52,119.08
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC MS $33,538.19
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC MS $27,011.17
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES MS $37,305.13
486 KNEE PROCEDURES W PDX OF INFECTION W CC MS $51,047.69
487 KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC MS $30,292.59
488 KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC MS $20,792.70
489 KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC MS $24,460.95
492 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC MS $69,730.21
493 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC MS $37,543.80
494 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC MS $26,097.70
496 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC MS $24,500.01
497 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC MS $23,011.43
500 SOFT TISSUE PROCEDURES W MCC MS $85,028.26
501 SOFT TISSUE PROCEDURES W CC MS $37,142.40
502 SOFT TISSUE PROCEDURES W/O CC/MCC MS $17,264.42
503 FOOT PROCEDURES W MCC MS $58,669.79
504 FOOT PROCEDURES W CC MS $24,450.07
505 FOOT PROCEDURES W/O CC/MCC MS $20,610.95
506 MAJOR THUMB OR JOINT PROCEDURES MS $25,594.17
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC MS $30,818.81
511 SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC MS $32,897.83
512 SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC MS $22,858.17
513 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC MS $22,778.43
514 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC MS $18,687.25
515 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC MS $66,465.44
516 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC MS $31,174.34
517 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC MS $20,299.91
518 BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM MS $86,673.42
519 BACK & NECK PROC EXC SPINAL FUSION W CC MS $28,906.80
52 SPINAL DISORDERS & INJURIES W CC/MCC MS $28,053.44
520 BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC MS $18,607.23
533 FRACTURES OF FEMUR W MCC MS $53,276.77
534 FRACTURES OF FEMUR W/O MCC MS $31,152.55
535 FRACTURES OF HIP & PELVIS W MCC MS $27,526.18
536 FRACTURES OF HIP & PELVIS W/O MCC MS $12,467.20
539 OSTEOMYELITIS W MCC MS $31,776.99
54 NERVOUS SYSTEM NEOPLASMS W MCC MS $23,292.58
541 OSTEOMYELITIS W/O CC/MCC MS $52,950.14
542 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC MS $35,748.96
543 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC MS $26,662.33
544 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC MS $22,045.64
545 CONNECTIVE TISSUE DISORDERS W MCC MS $59,323.03
546 CONNECTIVE TISSUE DISORDERS W CC MS $38,180.25
547 CONNECTIVE TISSUE DISORDERS W/O CC/MCC MS $14,383.84
549 SEPTIC ARTHRITIS W CC MS $19,804.98
55 NERVOUS SYSTEM NEOPLASMS W/O MCC MS $20,442.80
551 MEDICAL BACK PROBLEMS W MCC MS $37,076.47
552 MEDICAL BACK PROBLEMS W/O MCC MS $19,763.01
553 BONE DISEASES & ARTHROPATHIES W MCC MS $37,876.62
554 BONE DISEASES & ARTHROPATHIES W/O MCC MS $12,725.30
555 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC MS $42,067.95
556 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC MS $16,360.24
557 TENDONITIS, MYOSITIS & BURSITIS W MCC MS $23,057.43
558 TENDONITIS, MYOSITIS & BURSITIS W/O MCC MS $13,817.91
559 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC MS $19,966.38
56 DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC MS $35,285.75
560 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC MS $23,138.39
561 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC MS $12,000.73
562 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC MS $31,697.82
563 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC MS $12,604.96
564 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC MS $17,667.76
565 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC MS $16,217.37
566 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC MS $13,610.04
57 DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC MS $20,414.90
570 SKIN DEBRIDEMENT W MCC MS $33,630.91
571 SKIN DEBRIDEMENT W CC MS $31,766.12
572 SKIN DEBRIDEMENT W/O CC/MCC MS $22,809.08
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W MCC MS $38,072.03
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC MS $176,112.65
578 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC MS $22,180.15
579 OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC MS $47,283.00
58 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC MS $67,037.02
580 OTHER SKIN, SUBCUT TISS & BREAST PROC W CC MS $25,203.20
581 OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC MS $23,463.69
582 MASTECTOMY FOR MALIGNANCY W CC/MCC MS $39,477.56
583 MASTECTOMY FOR MALIGNANCY W/O CC/MCC MS $46,662.72
585 BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC MS $29,641.00
59 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC MS $34,564.36
592 SKIN ULCERS W MCC MS $22,844.21
593 SKIN ULCERS W CC MS $23,173.95
594 SKIN ULCERS W/O CC/MCC MS $9,651.98
595 MAJOR SKIN DISORDERS W MCC MS $30,558.89
596 MAJOR SKIN DISORDERS W/O MCC MS $24,582.32
597 MALIGNANT BREAST DISORDERS W MCC MS $45,475.09
598 MALIGNANT BREAST DISORDERS W CC MS $17,843.49
60 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC MS $21,115.68
600 NON-MALIGNANT BREAST DISORDERS W CC/MCC MS $18,705.38
601 NON-MALIGNANT BREAST DISORDERS W/O CC/MCC MS $7,919.17
602 CELLULITIS W MCC MS $24,810.85
603 CELLULITIS W/O MCC MS $14,711.34
604 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC MS $21,299.74
605 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC MS $13,827.06
606 MINOR SKIN DISORDERS W MCC MS $28,525.52
607 MINOR SKIN DISORDERS W/O MCC MS $10,657.55
61 ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W MCC MS $65,211.11
61 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC A MS $46,040.36
614 ADRENAL & PITUITARY PROCEDURES W CC/MCC MS $38,940.23
615 ADRENAL & PITUITARY PROCEDURES W/O CC/MCC MS $33,217.21
616 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC MS $40,113.72
617 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC MS $44,983.53
618 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W/O CC/MCC MS $29,822.97
619 O.R. PROCEDURES FOR OBESITY W MCC MS $142,115.37
62 ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W CC MS $49,450.98
62 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC A MS $40,683.15
620 O.R. PROCEDURES FOR OBESITY W CC MS $26,906.02
621 O.R. PROCEDURES FOR OBESITY W/O CC/MCC MS $23,702.93
622 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC MS $69,331.10
623 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC MS $38,532.53
624 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC MS $17,719.55
625 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC MS $37,194.85
626 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC MS $35,189.39
627 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC MS $16,484.82
628 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC MS $46,799.27
629 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC MS $34,961.92
63 ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W/O CC/MCC MS $48,698.66
63 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC A MS $41,651.46
630 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC MS $9,741.61
637 DIABETES W MCC MS $23,853.20
638 DIABETES W CC MS $16,076.51
639 DIABETES W/O CC/MCC MS $12,580.56
64 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC MS $33,887.84
640 MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC MS $20,095.85
641 MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC MS $13,530.39
642 INBORN AND OTHER DISORDERS OF METABOLISM MS $30,317.52
643 ENDOCRINE DISORDERS W MCC MS $37,943.58
644 ENDOCRINE DISORDERS W CC MS $16,644.89
645 ENDOCRINE DISORDERS W/O CC/MCC MS $10,248.80
65 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS MS $25,271.49
654 MAJOR BLADDER PROCEDURES W CC MS $41,191.08
655 MAJOR BLADDER PROCEDURES W/O CC/MCC MS $37,046.05
656 KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC MS $188,388.58
657 KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC MS $33,723.70
658 KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC MS $26,958.42
659 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC MS $127,566.63
66 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC MS $20,484.27
660 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC MS $27,891.36
661 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC MS $25,210.70
663 MINOR BLADDER PROCEDURES W CC MS $17,588.56
664 MINOR BLADDER PROCEDURES W/O CC/MCC MS $16,310.39
668 TRANSURETHRAL PROCEDURES W MCC MS $63,047.74
669 TRANSURETHRAL PROCEDURES W CC MS $32,198.85
67 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC MS $23,782.41
670 TRANSURETHRAL PROCEDURES W/O CC/MCC MS $16,037.63
673 OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC MS $77,949.93
674 OTHER KIDNEY & URINARY TRACT PROCEDURES W CC MS $51,750.04
68 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC MS $25,428.33
682 RENAL FAILURE W MCC MS $22,541.61
683 RENAL FAILURE W CC MS $16,115.52
684 RENAL FAILURE W/O CC/MCC MS $12,628.73
687 KIDNEY & URINARY TRACT NEOPLASMS W CC MS $24,836.89
688 KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC MS $20,312.36
689 KIDNEY & URINARY TRACT INFECTIONS W MCC MS $19,223.43
69 TRANSIENT ISCHEMIA MS $18,547.99
69 TRANSIENT ISCHEMIA W/O THROMBOLYTIC MS $19,565.42
690 KIDNEY & URINARY TRACT INFECTIONS W/O MCC MS $15,300.11
693 URINARY STONES W/O ESW LITHOTRIPSY W MCC MS $16,067.35
694 URINARY STONES W/O ESW LITHOTRIPSY W/O MCC MS $17,889.71
695 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC MS $41,312.02
696 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC MS $11,988.95
698 OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC MS $28,814.01
699 OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC MS $20,263.27
70 NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC MS $28,312.87
700 OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC MS $14,156.28
707 MAJOR MALE PELVIC PROCEDURES W CC/MCC MS $34,678.30
708 MAJOR MALE PELVIC PROCEDURES W/O CC/MCC MS $34,594.55
71 NONSPECIFIC CEREBROVASCULAR DISORDERS W CC MS $17,753.58
713 TRANSURETHRAL PROSTATECTOMY W CC/MCC MS $29,741.05
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC MS $31,476.02
72 NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC MS $13,866.83
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC MS $22,428.42
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC MS $34,875.23
726 BENIGN PROSTATIC HYPERTROPHY W/O MCC MS $9,978.18
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC MS $29,323.76
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC MS $16,983.31
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC MS $22,179.34
73 CRANIAL & PERIPHERAL NERVE DISORDERS W MCC MS $25,453.80
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O CC/MCC MS $11,399.26
735 PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC MS $25,706.58
736 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC MS $111,692.19
737 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC MS $44,227.75
738 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC MS $32,503.86
739 UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC MS $109,629.45
74 CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC MS $19,575.65
740 UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC MS $25,097.61
741 UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC MS $17,316.06
742 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC MS $20,414.17
743 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC MS $17,372.62
744 D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC MS $19,422.76
745 D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC MS $17,024.36
746 VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC MS $18,408.32
747 VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC MS $16,238.92
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES MS $14,127.63
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC MS $38,184.14
75 VIRAL MENINGITIS W CC/MCC MS $35,437.96
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC MS $29,791.34
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC MS $27,477.03
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC MS $14,650.66
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC MS $17,452.35
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC MS $15,476.25
76 VIRAL MENINGITIS W/O CC/MCC MS $16,695.80
760 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC MS $9,138.85
761 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC MS $26,628.18
765 CESAREAN SECTION W CC/MCC MS $17,939.72
766 CESAREAN SECTION W/O CC/MCC MS $15,657.97
767 VAGINAL DELIVERY W STERILIZATION &/OR D&C MS $12,930.30
768 VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C MS $16,941.43
769 POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE MS $20,558.84
77 HYPERTENSIVE ENCEPHALOPATHY W MCC MS $17,969.56
770 ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY MS $9,932.79
774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES MS $8,247.86
775 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES MS $7,199.01
776 POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE MS $11,080.58
777 ECTOPIC PREGNANCY MS $17,392.50
778 THREATENED ABORTION MS $8,248.44
779 ABORTION W/O D&C MS $3,982.33
78 HYPERTENSIVE ENCEPHALOPATHY W CC MS $22,827.03
780 FALSE LABOR MS $14,464.73
781 OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS MS $10,448.29
782 OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS MS $8,021.22
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY MS $15,022.26
79 HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC MS $20,446.08
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE MS $105,222.20

See Part 2 of this list.